THOMAS W. HERENDEEN MD
NPI 1356333272
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Fort Wayne, IN

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
87.28/100
CMS Quality Rating
10021 DUPONT CIRCLE CT, FORT WAYNE, IN 46825(260) 426-8117(260) 420-0817 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas W. Herendeen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS W. HERENDEEN MD (NPI 1356333272) is an individual otolaryngology/facial plastic surgery provider in Fort Wayne, Indiana, licensed in Indiana (01041576A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Indiana University School Of Medicine (1992).

NPPES Registry Identity

NPI1356333272
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameTHOMAS W. HERENDEENCredential: MD
Location Address10021 DUPONT CIRCLE CTFort Wayne, IN 46825-1604
Mailing Address10021 Dupont Circle CtFort Wayne, IN 46825-1604 · (260) 426-8117 · Fax (260) 420-0817
Fax(260) 420-0817
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1992
Enumeration DateAugust 17, 2005
Last NPPES UpdateJune 20, 2016
NPI 1356333272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License Licensed in IN · 01041576A
Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

10021 DUPONT CIRCLE CT, Fort Wayne, IN 46825

Other Identifiers 6

Medicare UPING03607IN
Medicaid2067043OH
Medicare PIN040015730IN
Medicare PININ1332011IN
Medicare PIN047930KIN
Medicaid200163210IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thomas W. Herendeen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688714660
PECOS Enrollment IDI20091223000218
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
114 services94 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
84 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services54 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
47 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb County
Emergency services Birthing friendly

Parkview Wabash Hospital, Inc

Critical Access Hospitals · Wabash, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151310
Location10 John Kissinger DriveWabash, IN 46992 · Wabash County
Emergency services Birthing friendly

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN
OwnershipGovernment - Local
CMS Certification Number151330
Location1100 Mercer AveDecatur, IN 46733 · Adams County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality79.61
Promoting Interoperability95
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%30 patients
Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines
24%258 patients2/55-star benchmark: 89%
Documentation of Current Medications in the Medical Record
94%1,901 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%1,468 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 82% · 676 patients
Patients screened: 100% · 676 patients
4%107 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
87%863 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
97%135 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825
Speech-Language Pathologist
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825
Otolaryngology
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825
Hearing Instrument Specialist
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825
Otolaryngology
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825
Audiologist
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825
Speech-Language Pathologist
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825
Otolaryngology
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Herendeen's NPI number?

The NPI number for Thomas Herendeen is 1356333272. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Thomas Herendeen located?

Thomas Herendeen practices at 10021 Dupont Circle Ct, Fort Wayne, IN 46825. The listed phone number is (260) 426-8117.

What is Thomas Herendeen's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Thomas Herendeen enrolled in Medicare?

Yes. Thomas Herendeen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Herendeen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Thomas Herendeen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Herendeen affiliated with any hospitals?

According to CMS data, Thomas Herendeen is affiliated with Lutheran Hospital Of Indiana, Parkview Regional Medical Center, Parkview Dekalb Hospital, Parkview Wabash Hospital, Inc and Adams Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Herendeen was last updated on June 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.